Healthcare Provider Details

I. General information

NPI: 1033084298
Provider Name (Legal Business Name): FATHIA BESS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HILLCREST PKWY STE F
DUBLIN GA
31021-3598
US

IV. Provider business mailing address

4915 S BARTOW RD 4915 S BARTOW RD
BARTOW GA
30413-3100
US

V. Phone/Fax

Practice location:
  • Phone: 478-274-8426
  • Fax: 478-274-8430
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRN268834
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberRN268834
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN268834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: